The Hilltop on Main

The Hilltop on Main is a senior care community located in Meridian, TX. It provides nursing home care and senior living for older adults in the Meridian area. To learn more or schedule a tour, call (254) 435-2357.

The Hilltop on Main is licensed for 94 beds, about typical for the area, where senior care communities in Bosque County average about 87 beds.

Federal reporting puts occupancy at about 29% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Bosque County average of roughly 52%.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in March 2026 and recorded 6 deficiencies.

Residents receive about 2.8 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Nursing staff turnover over the past year was about 50%.

The community is located in Bosque County, TX.

Medicare five-star ratings

• Overall ★★★★★ 1/5
• Health inspections ★★★★★ 2/5
• Staffing ★★★★★ 1/5
• Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

The Hilltop on Main offers nursing home care and senior living.

Facility details

• Organization type Non profit - Corporation
• Beds / units 94
• Occupancy 29%
• Nursing hours per resident/day 2.8
• Annual staff turnover 50%
• Last health inspection March 2026